419923, 441 PM htpstugcourses.almsexams.ac in ReglsrationSlip?id-DX4dstiQvlPAMUQSWLxOcKlkrnHxioF NTZWWJCPOVKDSIQUH & All India Institute of Medical Sciences x ‘Ansari Nagar, New Delhi - 110808, [AIMS Undergraduate Basic Registration Form Candidate Profile Registration 1D: U5322222355 Basic Rogistration Date: 19/04/2023 (Candidate Name: PRAKHAR YADAV Date of Birth: 18 Sep 2006 Gender: Male Category: OBC (NCL) Father's Name: PRADEEP KUMAR YADAV ‘Mother's Name: PRADEEP KUMAR YADAV PWBD Status: No PWD Category: NA Nationality: INDIAN. ‘State of Domicile: UTTAR PRADESH Contact Details [Address for Permanent Correspondence Adcress: 1917 APARANAPATTI CHAUBEPUR KHURD VARANASI, 19/7 A PARANAPATT CHAUBEPUR KHURD VARANAS!, Chaubepurkhurd CChaubepurkhurd , Varanasi, UTTAR PRADESH, India, 221101, Varanasi, UTTAR PRADESH, India, 221101 Mobile No: 1. 8423561431, 2. Allemate-MobileNo E-Mail ID: ajayyadavsr135@gmail.com 8303308096 Valid Photo Identity (To be presented in original at the Examination Center along with Admit Card) 1D Proof: Aadhar Card ID No: 345332016799 Pace of Issue: Incia Igsue Date: 21/04/2018 Valid Til: NA. UNDERTAKINGIDECLARATION: !heroby declare thatthe information fumished by me inthe Regisraton/Appcation Form is corect and noting has been concealed ease any information fumed by me found o be falanlincorelurve than shale ble fo clio prosecution and my chim ‘Sdmissioniappeinimentregisvaton service Inte Insite maybe cancsledRernated, ‘Signature of Candidate ‘Thumb of Candidate hips /lugcourses.aimeexams.acnvRegitraonSlip?id=DXadeOvllPAMUOSWLxOckikmHxieF NTZWVWUICpOvKbOSIQIM uw